Compliance & Coding

Compliance is a key part of every medical practice's operations and is one we focus on every day. Because we understand the importance of being 100% compliant in everything we do for you, our comprehensive Compliance Plan and HIPAA Policies are interwoven into every aspect of our daily operating procedures.

Our compliance staff continuously monitors charges to ensure that our clients’ practices meet the required standards. We also provide on-going education for our clients to keep them up-to-date as new regulations and policies are instituted. As our clients will tell you, when you trust PPM with your billing and collections, you can be assured that your claims are submitted using the highest standards of accuracy.

Our coding department is staffed with professionals who are certified by either the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA). They stay current on the constant changes in coding and compliance through continuing education seminars and coding compliance meetings.

We bill our clients’ charges accurately and in compliance with all federal and state regulations and private payer policies and guidelines. As part of our internal control measures, daily protocols are followed to ensure that all physical status modifiers, qualifying circumstances, invasive lines and post-op pain procedures are captured and billed correctly.

Our coding department performs monthly internal audits to ensure that all charges are coded correctly and to their maximum allowable amount. The audits also confirm that PQRS is being billed and that medical direction is being documented so that our clients are compliant with the Centers for Medicare and Medicaid Services (CMS).